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1538534334
MATTHEW WAGNER
MADISON, WI
NPI
1538534334
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: WI 761-55)
Enumeration Date
2015-12-04
Last Update Date
2015-12-04
Business Address
-- MATTHEW WAGNER CA.
4513 VERNON BLVD
MADISON, WI 53705-4993
Phone number: 608-698-5687
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Mailing Address
-- MATTHEW WAGNER CA.
4513 VERNON BLVD
MADISON, WI 53705-4993
Phone number: 608-698-5687
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